从《内经》病机十九条看中医临床思维方法

Fromninety nine pathome chanisms of Canon of Medicine to analyzed TCM dinical thinking method

关键词:  中医临床思维  《内经》  病机十九条

Key words:  clinical thinking of TCM  Neijing  nineteen pathomechanisms

摘要:

中医临床思维的核心思想是病机的主体地位及其审证求因的构建过程，从临证的角度说，《内经》尤其是病机十九条是其集中的表现。病机思维源于中医整体观的哲学思想的指导；其归纳的模式是直觉判断；运用的工具是意象思维，类象逻辑；方法是取类比象，司外揣内，以譬尽意；借助的是理性推导，注重的是病理联系，强调的是整体效应，谋求的是身心平衡——对立统一，重感觉，重表象，重时间中人的动态。

Abstract:

The core idea of TCM clinical thinking is the main body status of pathogenesis and the build process of identification according to the etiology, from the perspective of clinic, pathogenesis is the key of the syndrome differentiation from the description of representation to the instructions for internal mechanism, this is the core idea of traditional Chinese medicine, especially the pathogenesis in Neijing, momty nine pathomechanisms was the sign of its concentration. Pathogenesis of thinking of TCM originated from the guidance of TCM Yuan holistic philosophy. The inductive pattern is intuitionistic judgment. Use of tools is imagery thinking, such as logic. Method is analogy by classification. With rational deduction, it pays attention to pathology relation, emphasizes the overall effect, seeks the balance of body and mind.